IBM Systems Magazine, Power Systems edition - August 2014 - 20

Chin wants to be able to direct how
Watson is optimized for healthcare.

experts for assistance. Traditional
reference manuals are static, often
not up to date and do not provide
patient-specific information. One
may be fortunate to know an
expert to reach out to and ask, "Hi,
I have this patient, and this is what
I know of him. What would you
do?" OEA is designed to simulate
that exchange with an expert. It
generates a dynamic synopsis
of a patient's case, matches the
patient profile against medical
literature, consensus guidelines
and expert recommendations
to rank treatment options that
are appropriate for the patient.
Importantly, it will always show
the linked evidence to each
option it suggests, like a reference
manual. It explains why an option
is considered appropriate for
such a patient, so physicians can
make an evidence-based decision
that is the best for the patient.
In a way, OEA is a system to
facilitate the adoption of the latest
medical knowledge by practicing
physicians.
Q: What do you say to
someone who tells you it's too
early to be working on this
kind of project?
A: Often people ask me if Watson
really is capable of doing that

or is it too early? Why don't you
wait until the technology is more
mature? Indeed, when we started,
Watson technology was like an
infant, mere months after it won
"Jeopardy!"
Even today, Watson is still
young and immature. There were
a lot of growing pains and I am
sure more to come. However, I see
this as necessary, like parenting.
You may believe in the potential of a 2-year-old. If you want
him to grow up to do what you
believe he can do, you will have
to raise the child in the right
way. If you're not there at the
inception, you don't have a way
of directing where it goes. If we
want Watson to develop into a
technology optimized for healthcare, then healthcare must be
what is driving its development
and maturation. Waiting for the
technology to mature is not an
option in my book.
From the Watson team perspective, I think it's a very similar
analogy. Watson is a technology.
It doesn't do anything until it is
applied to a domain. To apply it to
healthcare, the Watson engineers
need to understand healthcare,
otherwise they would be building
a gadget-fancy but useless. This
is probably the biggest challenge

20 // AUGUST 2014 ibmsystemsmag.com

60%
of newly
diagnosed
cancer patients
are at stage
1 or 2
with a
90-95%
cure rate
prognosis in
most cancer
types
________
Only about

15%
of all cancer
patients are
treated in
nationally
recognized
cancer centers

in the relationship. How do you
get the clinical experts and the
technologists (who barely, if
at all, understand each other's
languages) to work together and
build something that neither
knows what it should look like?
Q: How are they doing that?
A: A lot of time, a lot of trials
and errors. The engineers need to
spend time to learn from the SMEs
[subject matter experts] the basic
vocabularies so they can communicate. We made a lot of mistakes
but we learned from them. If you
want to be the first, you have to
be prepared to fail. So, finding the
right people is most important,
people who are willing to take
that first step outside the comfort
zone. Then we need commitment.
Q: How do you guide this
journey into the unknown?
A: You've got to have a North
Star to show you where you are
heading, to keep you on track. For
me, that North Star is the belief
of what OEA can be (eventually)
and how it must be designed to
help physicians deliver better care
to improve patient outcome, not
just reduce the cost of a specific
decision point, such as choosing
a therapy.


http://www.ibmsystemsmag.com

IBM Systems Magazine, Power Systems edition - August 2014

Table of Contents for the Digital Edition of IBM Systems Magazine, Power Systems edition - August 2014

Table of Contents
Editor's Desk: Killing cancer
IBM Perspective: Healthcare's grand challenge
Techbits: Shape-shifters in the sky
Partner PoV: An integration layer can beat rip-and-replace or custom code
Case Study: Fields of Dreams: MEDHOST accommodates growing healthcare providers with expanding field lengths
Cover Story: Paradigm Shift: How MD Anderson and Watson are transforming healthcare
Feature: Treating Healthcare’s Pain Points: IBM Watson pairs with Power Systems to bring new tools to medical service providers
Trends: IBM reference architecture for genomics brings power to research
R&D: The Watt-Sun program is poised to improve weather forecasting for solar energy
Solutions: Accelerator for .NET 5.0; Open Access for COBOL; Capture With Business-Items; Nitro AutoCode; Formtastic 5.4.5; Advanced Job Scheduler 12; Profound UI 5.0
Snapshot: Amy Hoerle
Reference Point - Global Events, Education, Resources for Power Systems
2014 Power Systems Solution Edition Product Index
IBM Systems Magazine, Power Systems edition - August 2014 - Intro
IBM Systems Magazine, Power Systems edition - August 2014 - Cover1
IBM Systems Magazine, Power Systems edition - August 2014 - Cover2
IBM Systems Magazine, Power Systems edition - August 2014 - 1
IBM Systems Magazine, Power Systems edition - August 2014 - Table of Contents
IBM Systems Magazine, Power Systems edition - August 2014 - 3
IBM Systems Magazine, Power Systems edition - August 2014 - 4
IBM Systems Magazine, Power Systems edition - August 2014 - Editor's Desk: Killing cancer
IBM Systems Magazine, Power Systems edition - August 2014 - IBM Perspective: Healthcare's grand challenge
IBM Systems Magazine, Power Systems edition - August 2014 - Techbits: Shape-shifters in the sky
IBM Systems Magazine, Power Systems edition - August 2014 - Partner PoV: An integration layer can beat rip-and-replace or custom code
IBM Systems Magazine, Power Systems edition - August 2014 - 9
IBM Systems Magazine, Power Systems edition - August 2014 - 10
IBM Systems Magazine, Power Systems edition - August 2014 - 11
IBM Systems Magazine, Power Systems edition - August 2014 - Case Study: Fields of Dreams: MEDHOST accommodates growing healthcare providers with expanding field lengths
IBM Systems Magazine, Power Systems edition - August 2014 - 13
IBM Systems Magazine, Power Systems edition - August 2014 - 14
IBM Systems Magazine, Power Systems edition - August 2014 - 15
IBM Systems Magazine, Power Systems edition - August 2014 - 16
IBM Systems Magazine, Power Systems edition - August 2014 - 17
IBM Systems Magazine, Power Systems edition - August 2014 - Cover Story: Paradigm Shift: How MD Anderson and Watson are transforming healthcare
IBM Systems Magazine, Power Systems edition - August 2014 - 19
IBM Systems Magazine, Power Systems edition - August 2014 - 20
IBM Systems Magazine, Power Systems edition - August 2014 - 21
IBM Systems Magazine, Power Systems edition - August 2014 - 22
IBM Systems Magazine, Power Systems edition - August 2014 - 23
IBM Systems Magazine, Power Systems edition - August 2014 - Feature: Treating Healthcare’s Pain Points: IBM Watson pairs with Power Systems to bring new tools to medical service providers
IBM Systems Magazine, Power Systems edition - August 2014 - 25
IBM Systems Magazine, Power Systems edition - August 2014 - 26
IBM Systems Magazine, Power Systems edition - August 2014 - 27
IBM Systems Magazine, Power Systems edition - August 2014 - 28
IBM Systems Magazine, Power Systems edition - August 2014 - 29
IBM Systems Magazine, Power Systems edition - August 2014 - Trends: IBM reference architecture for genomics brings power to research
IBM Systems Magazine, Power Systems edition - August 2014 - 31
IBM Systems Magazine, Power Systems edition - August 2014 - 32
IBM Systems Magazine, Power Systems edition - August 2014 - 33
IBM Systems Magazine, Power Systems edition - August 2014 - R&D: The Watt-Sun program is poised to improve weather forecasting for solar energy
IBM Systems Magazine, Power Systems edition - August 2014 - 35
IBM Systems Magazine, Power Systems edition - August 2014 - 36
IBM Systems Magazine, Power Systems edition - August 2014 - Solutions: Accelerator for .NET 5.0; Open Access for COBOL; Capture With Business-Items; Nitro AutoCode; Formtastic 5.4.5; Advanced Job Scheduler 12; Profound UI 5.0
IBM Systems Magazine, Power Systems edition - August 2014 - 38
IBM Systems Magazine, Power Systems edition - August 2014 - 39
IBM Systems Magazine, Power Systems edition - August 2014 - Snapshot: Amy Hoerle
IBM Systems Magazine, Power Systems edition - August 2014 - Cover3
IBM Systems Magazine, Power Systems edition - August 2014 - Cover4
IBM Systems Magazine, Power Systems edition - August 2014 - Reference Point - Global Events, Education, Resources for Power Systems
IBM Systems Magazine, Power Systems edition - August 2014 - 2014 Power Systems Solution Edition Product Index
IBM Systems Magazine, Power Systems edition - August 2014 - SE2
IBM Systems Magazine, Power Systems edition - August 2014 - SE3
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